# MADISON KELLY BUSCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780353086
- **Gender:** F
- **Credential:** RDN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | 86078852 | NULL | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | 352 | WY | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | CO | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/09/2021